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Self-Management and Associated Factors among Patients with Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study

Oh Young Kwon, Seung Up Kim, Sang Hoon Ahn and Yeonsoo Jang ()
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Oh Young Kwon: College of Nursing and the Brain Korea 21 FOUR Project, Yonsei University, Seoul 03722, Republic of Korea
Seung Up Kim: Department of Internal Medicine, Institute of Gastroenterology, College of Medicine, Yonsei University, Seoul 03722, Republic of Korea
Sang Hoon Ahn: Department of Internal Medicine, Institute of Gastroenterology, College of Medicine, Yonsei University, Seoul 03722, Republic of Korea
Yeonsoo Jang: Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Republic of Korea

IJERPH, 2022, vol. 20, issue 1, 1-12

Abstract: Self-management is critical and essential for controlling non-alcoholic fatty liver disease, delaying progression, and preventing complications. However, information about the self-management characteristics of this population is scarce. This study explores the characteristics and self-management levels and the factors associated with self-management in patients with non-alcoholic fatty liver disease in Korea. A convenience sample of 150 patients diagnosed with non-alcoholic fatty liver disease was recruited from April to November 2019. Demographics and clinical findings were collected, and self-management, self-efficacy, fatigue, and depressive symptoms were assessed using questionnaires. Multiple linear regression analysis was performed to examine the factors associated with self-management. Self-management levels were moderate (Mean = 3.4, SD = 0.61). Self-management differed significantly by age, sex, marital status, occupation, and health education experience. Self-efficacy (β = 0.074, p = 0.020) showed a significant association with self-management, which explained 25.0% of the variance after controlling for age, sex, marital status, health education experience, occupation, controlled attenuation parameter score, and body mass index. Self-efficacy is a critical determinant of self-management among patients with non-alcoholic fatty liver disease. The study findings could assist healthcare professionals in facilitating self-management compliance and developing multidisciplinary team-based interventions for sustainable self-management.

Keywords: non-alcoholic fatty liver disease; self-efficacy; self-management; Korean (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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